The nurse is caring for a client at 30 weeks' gestation who is experiencing preterm premature rupture of membranes (PPROM). Which statement indicates that the client needs additional teaching?
1. "If I were having a singleton pregnancy instead of twins, my membranes would probably not have ruptured."
2. "If I develop a urinary tract infection in my next pregnancy, I might rupture membranes early again."
3. "If I want to become pregnant again, I will have to plan on being on bed rest for the whole pregnancy."
4. "If I have aminocentesis, I might rupture the membranes again."
3
Explanation: 3. There is no evidence that bed rest in a subsequent pregnancy decreases the risk for PPROM.
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The treatment team and a male client in whom obsessive-compulsive disorder associated with hand washing has been diagnosed decide on a treatment plan for the disorder
The nurse begins to implement the plan by having the client gradually extend the time between hand washes. This intervention is an example of which type of therapy? a. Behavior modification b. Desensitization c. Flooding d. Pharmacological therapy
The nurse, caring for several clients, realizes that the one who is most likely going to have enteral nutrition prescribed would be the client who:
a. has an intestinal obstruction. b. is unconscious. c. has severe diarrhea. d. has a malabsorption syndrome.
The nurse gathers the following data: BP = 150/94 mm Hg; neck veins distended; P = 104 beats/min; pulse bounding; respiratory rate = 20 breaths/min; T = 37°C (98.6°F). What disorder should the nurse suspect?
a. Hypovolemia b. Hypercalcemia c. Hyperkalemia d. Hypervolemia
An unconscious client who has just been involved in a motor vehicle accident is brought to the emergency department
Which presenting clinical manifestation makes the nurse suspi-cious of an opioid overdose rather than increased intracranial pressure as a cause of the un-consciousness? A. Pinpoint pupils B. Respiratory depression C. Hyporeflexive deep tendon reflexes D. Evidence that the client has vomited